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Improving Case Management while Improving Care Through Data Sharing

Tue, 10/27/2020 - 14:08 -- Whitney Mayo


Little Rock, Arkansas October 2020 

Josh Wilson, PhD at (Independent Case Management) ICM, Inc. recalls instances when his staff were able to follow-up with customers (patients are customers at ICM) that had been at the local emergency room because of their connection to Arkansas’s statewide health information exchange or HIE, SHARE. Because the staff knew very well both the customer and the difficulty the customer was having, they were better equipped to provide home-based supports upon discharge, helping to avoid readmission. While there was time and money saved, the real value was more personal.

Dr. Wilson and ICM provide home and community-based supports to people with intellectual and developmental disabilities (IDD). ICM was initially set up to receive Alerts, real-time notifications of hospital admissions, discharges, or transfers (ADTs) on a list of customers they “subscribe to” through the HIE. When any individual on their subscribed list lands in or is discharged from a hospital, they receive an alert. While many people with IDD require 24/7 supports, some do not. This service had an immediate impact, according to Wilson. “It’s very helpful to know when someone is admitted to the hospital when we are not providing supports. During these instances, we can quickly follow-up with the medical staff and family to customize our supports as needed upon discharge,” he said.

ICM and many other SHARE participants who care for Individuals with Developmental Disabilities have reported that receiving Alerts has positively impacted how they support these customers. There are two primary ways that SHARE provides data – through Alerts and through access to the HIE Portal. An Alert provides notification of an event such as an ADT or an abnormal lab result. Participants can also access data through the virtual health record portal, such as information on a customer labs, diagnostic tests, or clinical notes. Participants pull reports (called continuity of care documents or CCDs) such as discharge summaries from the HIE portal. Many participants also use the Direct secure email service of the HIE that allows them to share messages and documents with other participants.

Created in 1988, ICM began as a pilot project in partnership with the state to implement a 1915c Medicaid home and community-based supports waiver for people with IDD. Today, ICM supports over 280 people with IDD. The majority of these people are supported within their homes by Direct Support Professionals to increase their independence and assist with activities of daily living such as bathing, dressing, personal hygiene, and socialization. Other services include applied behavior analysis therapies for children with autism, clinic-based habilitative services, and specialized foster care. To support pre-employment skill readiness, ICM owns and operates three retail stores (Bamboo, Biscuits, Brushes) in Little Rock and a fried pie manufacturing and delivery business (Flywheel Pies) in Prescott. The main administrative office is located in Little Rock, Arkansas.

About ICM, Inc.

ICM, a 501(c)(3) organization, is committed to providing exceptional home and community-based supports suited to the specific needs and goals of individuals who have intellectual and developmental disabilities throughout the state.

ICM’s mission is to provide excellent individualized services and supports to individuals and their families across Arkansas.

ICM’s vision is to provide the support necessary so that individuals remain in their community of choice, to experience and promote interactions with those around them and to provide the opportunities for an enhanced quality of life. ICM is honored to support everyone’s desire to live a meaningful life in the community they choose.

Visit https://www.icm-inc.org/  to learn more.